一例66岁女性“上部鸡胸” （Currarino-Silverman综合征）病例

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Currarino-Silverman综合征是一种罕见的畸形，由一些胸骨骨化中心过早融合和胸骨柄-胸骨关节闭塞导致。患者胸骨异常短小，胸骨柄-胸骨连接处成角向前突出。最常见的相关疾病有心肺疾病和脊柱畸形。还被描述为特纳综合征和努南综合征的组成部分。在此，我们介绍了1例66岁女性患者，其在因乳腺癌接受手术和化疗后到我们诊所进行计算机断层成像（CT）随访，其每年频繁出现呼吸困难、喘息、支气管炎和轻度呼吸困难，这些症状在儿童期更为频繁。CT显示无转移病灶和其他伴随疾病，仅发现罕见的前胸壁畸形，即“上部”鸡胸，其软骨柄畸形，背侧张开角130°，胸骨体长9cm，下三分之一处未凹陷。

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作者简介

Domenico Mannatrizio

Department of Clinical and Experimental Medicine, Foggia University School of Medicine

Email: dr.mannatrizio@gmail.com
ORCID iD: 0000-0003-3365-7132

MD

意大利, Foggia

Giacomo Fascia

Department of Clinical and Experimental Medicine, Foggia University School of Medicine

Email: giacomo.fascia@unifg.it
ORCID iD: 0000-0001-5244-5093

MD

意大利, Foggia

Giuseppe Guglielmi

Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Hospital

编辑信件的主要联系方式.
Email: giuseppe.guglielmi@unifg.it
ORCID iD: 0000-0002-4325-8330

MD, Professor

意大利, Foggia; Barletta

参考

  1. Shamberger RC, Welch KJ. Surgical correction of pectus carinatum. J Pediatr Surg. 1987;22(1):48–53. doi: 10.1016/s0022-3468(87)80014-3
  2. Muntean A, Stoica I, Saxena AK. Pigeon chest: comparative analysis of surgical techniques in minimal access repair of pectus carinatum (MARPC). World J Pediatr. 2018;14(1):18–25. doi: 10.1007/s12519-018-0121-2
  3. Emil S. Current options for the treatment of pectus carinatum: when to brace and when to operate? Eur J. 2018;28(4):347–354. doi: 10.1055/s-0038-1667297
  4. Currarino G, Silverman F. Premature obliteration of the sternal sutures and pigeon-breast deformity. Radiology. 1958;70(4):532–540. doi: 10.1148/70.4.532
  5. Fokin A, Steuerwald NM, Ahrens WA, Allen KE. Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg. 2009;21(1):44–57. doi: 10.1053/j.semtcvs.2009.03.001
  6. Fokin A. Pouter pigeon breast. Chest Surg Clin N Am. 2000;10(2):377–391.
  7. Gabrielsen T, Ladyman G. Early closure of the sternal sutures and congenital heart disease. Am J Roentgenol Radium Ther Nucl Med. 1963;89:975–983.
  8. Chidambaram B, Mehta AV. Currarino-Silverman syndrome (pectus carinatum type 2 deformity) and mitral valve disease. Chest. 1992;102(3):780–782. doi: 10.1378/chest.102.3.780
  9. Regier DS, Oetgen M, Tanpaiboon P. Mucopolysaccharidosis type IVA. 2013 Jul 11 [updated 2021 Jun 17]. In: Adam MP, Ardinger HH, Pagon RA, et al., ed. GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2022.
  10. Martinez-Ferro M, Bellia-Munzon G, Schewitz IA, Toselli L. Pectus carinatum: when less is more. Afr J Thorac Crit Care Med. 2019;25(3):10.7196/AJTCCM.2019.v25i3.019. doi: 10.7196/AJTCCM.2019.v25i3.019
  11. Lester C. Pigeon breast (pectus carinatum) and other protrusion deformities of the chest of developmental origin. Ann Surg. 137(4):482–489. doi: 10.1097/00000658-195304000-00008
  12. Welch KJ, Vos A. Surgical correction of pectus carinatum (pigeon breast). J Pediatr Surg. 1973; 8(5):659–667. doi: 10.1016/0022-3468(73)90404-1
  13. Coelho MS, Santos A, Pizarro L, et al. “Pectus excavatum/pectus carinatum”: tratamento cirúrgico. J Pneumol. 1983;10(Supрl):47.
  14. Ramadan S, Wilde J, Tabard-Fougère A, et al. Cardiopulmonary function in adolescent patients with pectus excavatum or carinatum. BMJ Open Respir Res. 2021;8(1):e001020. doi: 10.1136/bmjresp-2021-001020
  15. Buziashvili D, Gopman JM, Weissler H, et al. An evidence-based approach to management of pectus excavatum and carinatum. Ann Plast Surg. 2019;82(3):352–358. doi: 10.1097/SAP.0000000000001654
  16. Szafer D, Taylor JS, Pei A, et al. A simplified method for three-dimensional optical imaging and measurement of patients with chest wall deformities. J Laparoendosc Adv Surg Tech A. 2019;29(2):267–271. doi: 10.1089/lap.2018.0191
  17. Geraedts TC, Daemen JH, Vissers YL, et al. Minimally invasive repair of pectus carinatum by the Abramson method: a systematic review. J Pediatr Surg. 2021;5:S0022-3468(21)00829-0. doi: 10.1016/j.jpedsurg.2021.11.028
  18. Brichon PY, Wihlm JM. Correction of a severe pouter pigeon breast by triple sternal osteotomy with a novel titanium rib bridge fixation. Ann Thorac Surg. 2010;90(6):e97–99. doi: 10.1016/j.athoracsur.2010.08.068
  19. Tarhan T, Meurer A, Tarhan O. Combined extra-/intrathoracic correction of pectus carinatum and other asymmetric chest wall deformities: A novel technique. Oper Orthop Traumatol. 2018;30(6):469–478. doi: 10.1007/s00064-018-0567-3
  20. McHam B, Winkler L. Pectus Carinatum. 2021 Aug 9. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  21. Rea G, Sezen CB. Chest wall deformities. 2021 Aug 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  22. Ramadan S, Wilde J, Tabard-Fougère A, et al. Cardiopulmonary function in adolescent patients with pectus excavatum or carinatum. BMJ. 2021;8(1):e001020. doi: 10.1136/bmjresp-2021-001020

补充文件

附件文件
动作
1. JATS XML
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2. 图1.全身计算机断层扫描，矢状切面：弓形胸骨，软骨房畸形，背角130º。

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3. 图2.全身计算机断层扫描，矢状切面：胸骨长 9 cm，背侧后凸。

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4. 图3.X线平片，侧位片：第2型胸部龙骨畸形。

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5. 图4.胸部计算机断层扫描：胸骨长度正常，下三分之一无凹陷。

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版权所有 © Mannatrizio D., Fascia G., Guglielmi G., 2022

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此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。

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